Beyer Christof
Medizinische Hochschule Hannover, Institut für Geschichte, Ethik und Philosophie der Medizin, Hannover.
Med Ges Gesch. 2011;30:49-83.
In German psychiatry, a distinct change occurred in the 1920s with regard to types of treatment. By introducing work therapy, early releases and psychiatric support outside the asylums the number of in-patients was to be reduced. As a consequence social approaches began to dominate psychiatric discourse. These approaches aimed at normalizing everyday life in the institutions and at implementing treatments that would allow patients to be reintegrated into society. Based on numerous documents on a patient who had spent the 1920s and early 1930s in a mental institution, the article adds a patient's view to the psychiatrists' perspective that has so far dominated the history of psychiatry of the Weimar Republic. The documents allow for an in-depth investigation of both the potential and the limitations of the approaches to psychiatric reform prevalent at the time. They illustrate, from a micro-perspective, the field of tension between psychiatric diagnosis, life in the asylum and integration into society that, in the case of this patient, became especially poignant with the patient's release at the time of the Third Reich sterilization laws.
在德国精神病学领域,20世纪20年代在治疗方式方面发生了显著变化。通过引入工作疗法、提前释放以及精神病院外的心理支持,住院患者的数量得以减少。结果,社会疗法开始在精神病学论述中占据主导地位。这些疗法旨在使机构内的日常生活正常化,并实施能让患者重新融入社会的治疗方法。基于大量关于一名在20世纪20年代至30年代初曾在精神病院住院患者的文件,本文在迄今为止主导魏玛共和国精神病学史的精神病医生视角之外,增添了患者的观点。这些文件有助于深入研究当时盛行的精神病学改革方法的潜力与局限。它们从微观角度展现了精神病诊断、精神病院生活与融入社会之间的紧张关系领域,在这名患者的案例中,随着第三帝国绝育法实施时患者的获释,这种紧张关系变得尤为尖锐。